| NPI | 1871470617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WILLIAM HARRIS Member 910-967-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-10-10 |